| Entity Name: | FREEPORT FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Feb 2006 (19 years ago) |
| Document Number: | L06000021451 |
| FEI/EIN Number | 870763184 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Mail Address: | ONE PARK PLAZA - LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477595858 | 2006-06-12 | 2008-01-25 | 1588 HIGHWAY 20 WEST, FREEPORT, FL, 32439, US | 1588 HIGHWAY 20 WEST, FREEPORT, FL, 32439, US | |||||||||||||||
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| Phone | +1 850-835-7050 |
| Fax | 8508357045 |
Authorized person
| Name | MICKEY PICKLER |
| Role | VP |
| Phone | 8508973678 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| FRANCK II JOHN M | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Cuffe Michael S | Manager | 2000 HealthPark Drive, Brentwood, TN, 37027 |
| WYATT CHRISTOPHER F | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000803620 | TERMINATED | 1000000348539 | OKALOOSA | 2012-10-11 | 2022-10-31 | $ 483.96 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
